Individual
DR. BRANDY MARIE TACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
750 N SYRINGA ST STE 203A, POST FALLS, ID 83854-5275
(208) 262-2717
(208) 262-2719
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2390
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
O-0622
ID
207YS0123X
Facial Plastic Surgery Physician
O-0622
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467667550
—
ID
05
—
2013695
—
WA
Enumeration date
05/11/2007
Last updated
05/02/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us